Tsyb A F, Dergachev A I
Vestn Rentgenol Radiol. 1991 May-Jun(3):75-81.
The paper is concerned with analysis of the potentialities of ultrasound introscopy in the diagnosis of various diseases of the gall bladder and biliferous ducts in 174 patients aged 19 to 76. The accuracy of the detection of calcium containing concrements of the gall bladder was 98.8%, that of choledocholithiasis--75%, noncalculous cholecystitis--88.4%, choledochodilatation--71.4%. In the absence of pathological changes in the gall bladder and biliferous ducts the reliability of echography was 27.7 and 93.1%, respectively. Causes of diagnostic errors in ultrasound tomography of the biliary system were discussed, methods of their prevention were proposed. A diagnostic algorithm of the sequence of use of ultrasound introscopy and other diagnostic methods to be employed in clinical practice was devised.
本文探讨了超声内镜检查对174例年龄在19至76岁之间的胆囊及胆管各种疾病的诊断潜力。胆囊含钙结石的检测准确率为98.8%，胆总管结石为75%，非结石性胆囊炎为88.4%，胆总管扩张为71.4%。在胆囊和胆管无病理改变时，超声检查的可靠性分别为27.7%和93.1%。讨论了胆道系统超声断层扫描诊断错误的原因，并提出了预防方法。设计了一种在临床实践中使用超声内镜检查及其他诊断方法的诊断算法。
